| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,716 |
1,512 |
$77K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
269 |
252 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
247 |
209 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
90 |
80 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
90 |
81 |
$6K |
| 90686 |
|
378 |
337 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
111 |
108 |
$2K |
| 90670 |
|
210 |
176 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
21 |
20 |
$2K |
| 90648 |
|
219 |
171 |
$1K |
| 85018 |
|
361 |
335 |
$819.69 |
| 90723 |
|
45 |
38 |
$520.28 |
| 90734 |
|
15 |
14 |
$221.13 |
| 90680 |
|
16 |
14 |
$102.79 |
| 90710 |
|
13 |
12 |
$90.92 |
| 90633 |
|
13 |
13 |
$83.20 |